Tentamen (uitwerkingen)
Chapter 26 Concurrent Disorders during Pregnancy
- Vak
- Instelling
Chapter 26 Concurrent Disorders during Pregnancy
[Meer zien]Voorbeeld 2 van de 14 pagina's
Voorbeeld 2 van de 14 pagina's
In winkelwagen
In winkelwagen
gesponsord bericht van onze partner
Verkoper
Volgen
Approvedtutor
Ontvangen beoordelingen
Voorbeeld van de inhoud
Chapter 26: Concurrent Disorders during PregnancyTest Bank
MULTIPLE CHOICE
1. Preconception counseling is critical to the outcome of diabetic pregnancies because
poor glycemic control before and during early pregnancy is associated with
a. Frequent episodes of maternal hypoglycemia
b. Congenital anomalies in the fetus
c. Polyhydramnios
d. Hyperemesis gravidarum
ANS: B
Feedback
A Frequent episodes of maternal hypoglycemia may occur during the first trimester
(not before conception) as a result of hormone changes and the effects on insulin
production and usage.
B Preconception counseling is particularly important because strict metabolic
control before conception and in the early weeks of gestation is instrumental in
decreasing the risks of congenital anomalies.
C Hydramnios occurs about 10 times more often in diabetic pregnancies than in
nondiabetic pregnancies. Typically, it is seen in the third trimester of pregnancy.
D Hyperemesis gravidarum may exacerbate hypoglycemic events as the decreased
food intake by the mother and glucose transfer to the fetus contribute to
hypoglycemia.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 609
OBJ: Nursing Process: Planning MSC: Client Needs: Physiologic Integrity
2. In assessing the knowledge of a pregestational woman with type 1 diabetes concerning
changing insulin needs during pregnancy, the nurse recognizes that further teaching is
warranted when the patient states
a. “I will need to increase my insulin dosage during the first 3 months of pregnancy.”
b. “Insulin dosage will likely need to be increased during the second and third
trimesters.”
c. “Episodes of hypoglycemia are more likely to occur during the first 3 months.”
d. “Insulin needs should return to normal within 7 to 10 days after birth if I am bottle
feeding.”
ANS: A
Feedback
A Insulin needs are reduced in the first trimester due to increased insulin
production by the pancreas and increased peripheral sensitivity to insulin.
B This statement is accurate and signifies understanding. Insulin resistance begins
as early as 14 to 16 weeks of gestation and continues to rise until it stabilizes
, during the last few weeks of pregnancy.
C This statement is correct. During the first trimester maternal blood glucose levels
are reduced and the insulin response to glucose is enhanced therefore this is
when an episode of hypoglycemia is most likely to occur.
D For the non-breastfeeding mother insulin levels return to normal within 7 to 10
days. Lactation utilized maternal glucose, therefore the mother’s insulin
requirements will remain low during lactation. On completion of weaning the
mother’s prepregnancy insulin requirement is reestablished.
PTS: 1 DIF: Cognitive Level: Application REF: p. 608
OBJ: Nursing Process: Evaluation MSC: Client Needs: Physiologic Integrity
3. Screening at 24 weeks of gestation reveals that a pregnant woman has gestational diabetes
mellitus (GDM). In planning her care, the nurse and the woman mutually agree that an
expected outcome is to prevent injury to the fetus as a result of GDM. The nurse identifies
that the fetus is at greatest risk for
a. Macrosomia
b. Congenital anomalies of the central nervous system
c. Preterm birth
d. Low birth weight
ANS: A
Feedback
A Poor glycemic control later in pregnancy increases the rate of fetal macrosomia.
B Poor glycemic control during the preconception time frame and into the early
weeks of the pregnancy is associated with congenital anomalies.
C Preterm labor or birth is more likely to occur with severe diabetes and is the
greatest risk in women with pregestational diabetes.
D Increased weight, or macrosomia, is the greatest risk factor for this woman.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 609
OBJ: Nursing Process: Planning and Implementation
MSC: Client Needs: Physiologic Integrity
4. In terms of the incidence and classification of diabetes, maternity nurses should know that
a. Type 1 diabetes is most common.
b. Type 2 diabetes often goes undiagnosed.
c. There is only one type of gestational diabetes.
d. Type 1 diabetes may become type 2 during pregnancy.
ANS: B
Feedback
A Type 2, sometimes called adult onset diabetes, is the most common.
B Type 2 often goes undiagnosed, because hyperglycemia develops gradually and
often is not severe.
C There are 2 subgroups of gestational diabetes. Type GDM A1 is diet-controlled
whereas Type GDM A2 is controlled by insulin and diet.
Voordelen van het kopen van samenvattingen bij Stuvia op een rij:
Verzekerd van kwaliteit door reviews
Stuvia-klanten hebben meer dan 700.000 samenvattingen beoordeeld. Zo weet je zeker dat je de beste documenten koopt!
Snel en makkelijk kopen
Je betaalt supersnel en eenmalig met iDeal, creditcard of Stuvia-tegoed voor de samenvatting. Zonder lidmaatschap.
Focus op de essentie
Samenvattingen worden geschreven voor en door anderen. Daarom zijn de samenvattingen altijd betrouwbaar en actueel. Zo kom je snel tot de kern!
Veelgestelde vragen
Wat krijg ik als ik dit document koop?
Je krijgt een PDF, die direct beschikbaar is na je aankoop. Het gekochte document is altijd, overal en oneindig toegankelijk via je profiel.
Tevredenheidsgarantie: hoe werkt dat?
Onze tevredenheidsgarantie zorgt ervoor dat je altijd een studiedocument vindt dat goed bij je past. Je vult een formulier in en onze klantenservice regelt de rest.
Van wie koop ik deze samenvatting?
Stuvia is een marktplaats, je koop dit document dus niet van ons, maar van verkoper Approvedtutor. Stuvia faciliteert de betaling aan de verkoper.
Zit ik meteen vast aan een abonnement?
Nee, je koopt alleen deze samenvatting voor €7,58. Je zit daarna nergens aan vast.
Is Stuvia te vertrouwen?
4,6 sterren op Google & Trustpilot (+1000 reviews)
Afgelopen 30 dagen zijn er 85443 samenvattingen verkocht
Opgericht in 2010, al 14 jaar dé plek om samenvattingen te kopen